Dr THOMAS R BLACKLEDGE JR. MD is a male medical professional, specializing in Family Medicine. He graduated in 1994 from University Of Mississippi School Of Medicine.
COVINGTON COUNTY HOSPITAL
800 3RD ST SW
MAGEE
MS
391113951
Tel: 6018491918
Npi | 1497798615 |
Pac Id | 5597722249 |
Professional Enrollment Id | I20041214000572 |
Last Name | BLACKLEDGE |
First Name | THOMAS |
Middle Name | R |
Suffix | JR. |
Gender | M |
Credential | MD |
Medical School Name | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 1994 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialty 1 | EMERGENCY MEDICINE |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | EMERGENCY MEDICINE |
Organization Legal Name | COVINGTON COUNTY HOSPITAL |
Group Practice Pac Id | 4183517253 |
Number Of Group Practice Members | 17 |
Line 1 Street Address | 800 3RD ST SW |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | MAGEE |
State | MS |
Zip Code | 391113951 |
Phone Number | 6018491918 |
Hospital Affiliation Ccn 1 | 250124 |
Hospital Affiliation Lbn 1 | MAGEE GENERAL HOSPITAL |
Hospital Affiliation Ccn 2 | 250001 |
Hospital Affiliation Lbn 2 | UNIVERSITY OF MISSISSIPPI MED CENTER |
Hospital Affiliation Ccn 3 | 251325 |
Hospital Affiliation Lbn 3 | COVINGTON COUNTY HOSPITAL CAH |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
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